Prenatal Screening Form Page 2

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CPT Codes by Components
First Trimester screen
CPT
PAPP-A
84163
HCG
84702
Inhibin
86336
Sequential Screen Part 1 (only if screen positive)
PAPP-A
84163
Sequential Screen Part 2 (see integrated Screen Part 2)
Integrated Screen Part 2
PAPP-A
84163
AFP
82105
uE3
82677
hCG
84702
Inhibin
86336
AFP Profile Four
AFP
82105
uE3
82677
hCG
84702
Inhibin
86336
AFP Only (Serum)
82105
AFP (amniotic fluid)
82106
ACHE Analyses (amniotic fluid)
ACHE
82013
Electrophoresis
82664
Scan (omit if ACHE is negative)
82143
Blood Contamination Studies
FBC (Fetal Blood)
86331
BSA Contamination
86185

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